Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Staff PLLC

Organization Specialist · NPI 1922140912

Pediatric Staff PLLC is a Specialist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22341 W 8 Mile Rd
Detroit, MI 48219-1217
Phone: (313) 255-2209
Fax: (313) 255-0773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 031683 (MI)

Record details

NPI number1922140912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne-Mare Ice — President · (313) 255-2209
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address22341 W 8 Mile Rd, Detroit, MI 48219-1217

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